Peifer Janelle S, Bradley Erin, Taasoobshirazi Gita
Department of Psychology, University of Richmond, Richmond, VA, United States.
Department of Public Health, Agnes Scott College, Decatur, GA, United States.
Front Psychiatry. 2022 May 11;13:735582. doi: 10.3389/fpsyt.2022.735582. eCollection 2022.
The necessity of hybrid and more accessible options for perinatal mood and anxiety disorders (PMADs) has taken on increased urgency in the wake of the COVID-19 pandemic and its lasting impacts. In the New Family Wellness Project (NFWP), participants engage in a hybrid in-person and teletherapy six-session intervention for new parents early in their postpartum period. This small, phase 1 clinical research examined early outcomes of the NFWP's cognitive behavioral intervention on adverse mental health outcomes (i.e., perinatal depression and anxiety, overall mental illness symptoms) and adaptive outcomes and protective factors (i.e., relational health, social support, flourishing, self-efficacy). Despite a small sample size ( = 12), paired -tests yielded significant effects for improvements in mental health symptoms at posttest, as well as marginally significant improvements in postpartum anxiety and self-efficacy. Findings suggest the brief, partner-inclusive, hybrid intervention shows promise for further study. Lessons learned from this small phase 1 clinical study and recommendations for revising the intervention prior to future trials are discussed.
在新冠疫情及其长期影响之后，针对围产期情绪和焦虑障碍（PMADs）采用混合型且更易获得的治疗方案变得愈发紧迫。在新家庭健康项目（NFWP）中，参与者在产后早期会参与一项结合面对面和远程治疗的六节干预课程，面向初为人父母者。这项小型的1期临床研究考察了NFWP认知行为干预对不良心理健康结果（即围产期抑郁和焦虑、整体精神疾病症状）以及适应性结果和保护因素（即关系健康、社会支持、幸福感、自我效能感）的早期效果。尽管样本量较小（n = 12），配对t检验显示，在测试后心理健康症状有显著改善，产后焦虑和自我效能感也有边缘性显著改善。研究结果表明，这种简短的、包含伴侣的混合型干预有进一步研究的价值。本文讨论了从这项小型1期临床研究中吸取的经验教训以及在未来试验前修订干预措施的建议。
